This is a story about refusing help...

If you spend enough time with general practitioners, general psychiatrists, specialist consultant psychiatrists, registered mental nurses, specialty doctors and all the very many other mental health professionals who are part of inpatient and outpatient clinics, community mental health teams, crisis teams and all the other apparatus which is supposed to treat mental health problems, one begins to realise a rather unsettling truth: there aren't very many treatments and they don't work very well.

Psychiatry is a young branch of medicine and it doesn't have a lot to crow about. Since the days of asylums and lobotomies, psychiatry has been dogged by scandals, including the extrapyramidal side effects of medications which have left patients with lifelong irreversible unpleasant problems. The data do not show encouraging outcomes. In fact the outlook is dismal and appears to be worsening as the toxic conditions which create mental health problems, seem to be intensifying. Rates of depression, anxiety, eating disorders, OCD, autistic spectrum disorders, attention deficit and hyperactivity... these are all soaring. Treatments are not effective and vast numbers of people are condemned to suffer with their illnesses AND the side effects of the medications.

I've been lucky enough to have access to private medical care, at times, and even with the very best professionals and medications, there is not a vast difference between what's available from the public healthcare system. It's all pretty crap and it doesn't work very well.

This is not a damning indictment of those who dedicate their lives to trying to treat mental illness, but simply a cold hard rational analysis of the facts.

The conclusion I've reached has been that there's an over-medicalisation of non-medical problems. The bulk of my problems have stemmed from the collapse of my relationships. I got divorced. I am estranged from my family. I've been forced to move to cities where I have no friends - no social support network - in order to work jobs which have been unsuitable for my health. I have the enormous pressure of having to work full-time, to pay rent, bills and service enormous debts, which is unbearable for a person who's having a crisis.

My mental health would be vastly improved if I had a partner, a social support network of local friends, financial and housing security and a job with reduced hours, until this crisis is resolved. Healthy diet, sleep hygiene, exercise, sex, physical affection, sunlight, fresh air, social contact, hobbies and interests... these things are all essential for human wellbeing. None of those things can be prescribed by a doctor.

During the worst days of my addiction and rough sleeping, I noticed that my fellow homeless alcoholics and addicts were not without some routine and social lives. Romantic relationships are not the exclusive preserve of those who live in houses and have jobs. The life of a homeless drug addict might be chaotic to the outside observer, but a less prejudiced analysis reveals no less structure, no less need for comfort, no less humanity. Those who have fallen into habits of addiction and homelessness might find the community of drug addicts, alcoholics and homeless to provide the social support network and sense of community, which they'd struggle to find living anonymously behind a front door.

Does anybody really know I'm here... in this house... in this city? In many ways I have found my contact with hospitals and the police to be of great comfort. I have found the nonjudgemental members of the NHS and police force to be incredibly kind and compassionate people. It's nonsensical, but I've been happy to be hospitalised or arrested. I've been happy to be in a cell or on a hospital ward, with somebody checking on my welfare. Behind my own front door I could be hanging by the neck, dead, and nobody would discover me for days or maybe even weeks.

My problems are mainly attributable to unmet basic needs: hugs, face-to-face conversation and a sense of belonging.

Because of the obvious things which need to be fixed in my life, it seems wrong to seek medical help, when my mood could be radically different if all the broken things were fixed. It might sound like a fun adventure, going to new cities, but the reality is very miserable and lonely. The reality of my present life is that I don't pick up the phone to speak to anybody when I'm feeling dangerously depressed - who would I phone? What would they do? It's not like anybody can nip round to check I'm OK.

Humans are social creatures, but I live on the periphery. I live on the periphery of life itself, always in danger of death or medical emergency. The state of being suicidal should be considered a medical emergency, especially in men of age 20 to 40, where suicide is the biggest cause of death. My perception of the danger is not warped, given my history of suicide attempts and hospitalisations.

There isn't a pill or some psychological therapy which would be effective... especially not when so much of my life is broken. It's not a medical problem. Sure, I have an underlying mood disorder, but the highs and lows of bipolar don't make me as unhappy as my social isolation does.

How I set about fixing things, I have no idea. The task seems insurmountable.

Tags: #bipolar #medication #nhs #depression #suicide

This is a story about biding your time...

One of my favourite things to make and eat is beef jerky or biltong. Mixing a marinade, lovingly covering the meat and then slowly drying it is something which can take 30 hours or more. The smell is quite tantalising throughout the process, but there's no short-cut to the end. If the beef is marinated for less time, it will be less flavoursome. If the beef is dried too quickly it will be cooked instead of dehydrated, and it will be brittle, not chewy.

My life has become a game of waiting. I'm paid for my attendance, not my contribution. I'm paid to be present, but also paid to be quiet. The more I'm present and the quieter I am, the greater my financial reward, but it's pretty unbearable. I literally just have to watch the clock and think of the money. If I tried to make myself useful, people wouldn't like it and it would cause problems.

The situation is ridiculous, because even a small child could see that I don't have to do anything and I will be handsomely rewarded with desirable things, such as cash, houses, cars, holidays, clothes, gadgets and suchlike. It's very easy to extrapolate and say that it's almost inevitable that I'm going to earn a staggering amount of money, for doing almost absolutely nothing.

The situation is hard to handle. I can see every single step in-between here and the 'finishing line'. It's as if there's a well-lit staircase that leads to the top of Mount Everest, and I know exactly how many steps there are, and also that theoretically my body is capable of climbing that many steps, but it's psychologically distressing to know exactly how many steps there are between me and the summit. Sometimes it's not a good thing to know the way. Sometimes it's not a good thing to be so aware of the journey ahead.

I'm aware that human bodies only last a finite amount of time before they fail. I can comprehend the number of sleeps that I have left before I expire from old age. A friend pointed out that 9 years is 108 months, which seemed like an interesting way to break down a decade - making it more bite-size - but the idea of living for another decade is not inviting to me. Getting to the end of this month will be an achievement.

My perception of time is warped. My sense of boredom is heightened. My attention span is ruined. I feel anxious all the time. I have terrible anhedonia.

Life's not very liveable but life must go on. I have to choose between the rat race and the endless exertion to keep my head above water, or else I will be turfed out onto the streets and will have to live a pitiful life of begging and sleeping rough.

My thoughts turn to suicide often.

Suicide is the obvious choice, because it ends the struggle completely. No more anxious waiting. No more slow plodding towards the inevitable. No more unpleasantness.

I'm aware that I'm frustratingly close to a major breakthrough. I'm aware that I've rebuilt myself fairly miraculously and I'm a completely different person from the junkie I was 2 years ago. It seems brutal that I would lose the love of my life, lose my amazing apartment, be forced out of the city I called home and end up attempting suicide, only to end up surviving and clawing my way back from almost-certain bankruptcy, only to give up at the point I was at break-even. It seems ludicrous that I'd claw my way back from so-called "rock bottom" and then decide that it wasn't worth it, except to die with a bit more pride and dignity.

I was chatting to a friend and we wondered whether we had screwed up our brains and our bodies too badly to ever recover. We both reported feeling a lot of physical discomfort and health problems, as well as terrible depression and anxiety. Ironically, he has all the things that I think I want: a girlfriend, hot weather and freedom from the rat race. The thing we have in common is bipolar disorder and substance abuse, so perhaps the evidence is pretty clear - drugs will mess you up and leave you in a miserable state.

The annoying thing is that my life isn't filled with drug abuse. My life is filled with 9 to 5 Monday to Friday commuting and office routine. My life is filled with paying rent and bills. My life is filled with supermarket shopping and doing laundry. My life is filled with mountains of paperwork. I've been well-behaved and I've made healthy choices, but it hasn't made any difference - I'm still depressed.

I suppose my depression can be explained away by events such as a breakup and a lot of stress - moving house - as well as the sustained problems I've faced in the past years, as I've attempted to restore my health and my wealth. It's hard not to lose patience though. It's hard not to give up, given the sustained effort that has been required to get where I am, and the way I feel at the end of it all.

After all the effort and the uncertainty and the horrible things I've had to endure, when I think "was it worth it?" I'm not sure that it was. In fact, I'm pretty certain that I wish I hadn't bothered. I'm pretty certain that I'd like for the pain and suffering to end sooner, rather than later. I cannot see any reason to carry on, when the reward is only more pain and suffering.

I'm kinda worried about keeping myself safe. I started thinking about places in my house where I could hang myself. I started thinking about cutting some major blood vessels in the bath. I started thinking about obtaining highly toxic poisons from the internet. I started thinking about practical considerations, such as the effect on my sister.

It's not good when a considerable part of your waking day is spent thinking about ending your own life.

I'm aware that I've probably unbalanced my delicate brain chemistry, through stressful events as well as medications. I binged on some pills. I self-medicate with other pills. The demands placed upon me by moving house and working a stressful job have driven me to feel suicidal before. I don't have any friends in the city where I live. These things are not conducive to good mental health.

I know that if I keep forcing myself to go to the office, my bank balance will continue to improve, which opens up a whole world of possibilities and reduces the amount of stress and pressure in my life. I know that as long as I stay alive, the days are getting longer, the nights are getting shorter and the weather is improving. I know that depression doesn't last forever. I know that anxiety has only ever come into my life as a result of abusing alcohol and benzodiazepines. I know these things, but it doesn't make the present day any more bearable.

There's no way to hurry things along. I either have to wait, or kill myself.

Tags: #suicide #anxiety #depression #bipolar

This is a story about sleeping pills...

The existence of this photo is something quite remarkable, even though it's hard to understand if you're not me. This photo captures the end of my attempt to smoothly extricate myself from an acrimonious divorce and pick up my life in London again with little damage. This photo captures the beginning of an astonishingly difficult period of my life - the part that contains all the homelessness and hospitalisations.

I try to compartmentalise everything, and to compare present experiences with past ones to see if I'm repeating patterns of behaviour which are flawed.

One experience which is oddly haunting is that of walking around in a somewhat out-of-body state; tunnel vision. I can hear my mouth talking - I can hear my voice - but it doesn't feel like I'm saying the words... I just hear them. It feels like I'm dreaming.

My brain is recovering from an avalanche of pills I've shoved down my throat in the past fortnight. I'm surprised I haven't suffered seizures or kidney failure, given the cocktail of chemicals I've swallowed.

I forget that I messed up my brain chemistry.

I wonder why I can't concentrate and my anxiety has gone through the roof. I wonder why my perception of time is so warped: The seconds and minutes are dragging along, taking hours and days to pass. My days in the office have been difficult, but my days at home have been no easier. There's no respite from the problems of my mind, my mood, my perceptions - I can't escape my brain.

I forget that I stopped drinking.

I wonder why the days are so long and I seem to have so much more time to do stuff. I wonder why I'm more able to cope. I wonder why I'm not so overwhelmed by things. Then I remember that I'm not shackled to alcohol anymore. I get to Friday and I start thinking that I should get drunk, but then I remember that it doesn't help, but it definitely hinders.

I think about all the detoxes and rehabs and I try to tell myself that £12,000 and 28 days in The Priory - the UK's Betty Ford - isn't enough to 'cure' me then I should go easy on myself. I think that I should allow at least four weeks since any major incident, before deciding that things are broken and won't get better. I think that 6 weeks is better, as a period of recuperation. I think that perhaps 3 months is best of all - 3 months stability and routine is the minimum, before making any big changes.

I always tried to rush things. I got very impatient and I tried to hurry things along. It ended badly.

I got very agitated. I got very angry. Nobody seemed to understand the urgency. Everybody seemed to be getting in my way.

The universe doesn't like to be hurried, it seems.

I think about how many different things I wanted in a short space of time. I wanted to work with my hands. I wanted to not work in an office. I wanted to be my own boss. I wanted to be the CEO of a tech startup. I wanted investors. I wanted to win. Then, I wanted rapid promotions and progression. I wanted to make a notable contribution. I wanted to have a say in everything.

I thought I was going somewhere.

I can look back and laugh at myself, but I must've carried some of that same person from the past into the present, which means I'm laughable today too.

I did learn to keep my mouth shut though, a little bit.

I think it's an interesting story, but I'm biased. I find it interesting that I was held back for years, which was frustrating, but then I squandered many years as an addict, which made absolutely bugger all difference. Instead of screwing up my whole career and future earning potential, my profession just patiently waited to accept me back once I'd got a lot of nonsense out of my system.

What terrifies me is how many years it's been and how similar this feeling is - of being asleep on my feet - to that feeling I had when I thought I was managing to escape my screwed up life and start over again, back in London. It's terrifying to think I haven't progressed at all, except I'm older and I've damaged my body and brain quite a lot.

I thought "OK time to stop now" a long time ago, and then found that I couldn't. The things that I didn't want to happen - like losing all my money and sleeping rough - happened and I landed up having major medical emergencies. I'm smart enough that I made it this far and my story is kinda remarkable, but anything that's vaguely similar to the past gives me a lot of superstitious heebie-jeebies.

This weekend is tougher than I thought it'd be. I'm not as far progressed with my finances as I thought I'd be. I'm not as clean and sober as I'd hoped I would be. There have been setbacks. My journey has been nonlinear.

What's surprising is that the universe has just handed me some major life components. Whether I'm intent on screwing up my entire life or whether I'm trying to achieve something great, pretty much the same outcomes seem to happen. I'm pretty convinced that free-will is an illusion. I don't feel like I'm just observing, but the evidence seems to be that I don't have any control.

Of course, I have too few 'normal' experiences to really benchmark where I'm at. I have too few 'normal' human interactions to gauge whether I've lost my mind or whether I'm OK. I'm completely free from any oversight. I'm untethered.

I don't know what's going on and I'm starting to ramble. I feel very peculiar.

Tags: #addiction #medication

This is a story about post-traumatic stress...

Tuesday was a very bad day. Tuesday was a constant panic attack. Tuesday held nothing for me but relentless anxiety. Tuesday passed very slowly.

Tuesday is past.

Today is Friday.

Today is almost OK.

When I look back on today at some point in the future, I'll probably realise that today was pretty bad, in the grand scheme of things, but compared to Tuesday, today has been a doddle.

It might seem like I was making a lot of fuss about nothing, earlier in the week, but I assure you that I was suffering a very real medical emergency, which would have seen most people hospitalised.

The brain can render us very sick and needy, when it malfunctions. My brain was badly on the blink and even in a hospital I would have been very uncomfortable. Doctors could have eased my suffering with powerful tranquillisers administered intravenously, which would have been the ethically correct thing to do, but on Tuesday I went to the office, which was torturous beyond my capability to describe.

There simply are no words for the things which are at the limit of human survivability. Torture can make us lose our sanity. Trauma can lead to loss of life.

It might look on the face of it as if I'm an ordinary person doing ordinary people stuff, but the fact is that few of us live in perpetually precarious situation. We either fail and fall, or else we stabilise. We tend towards stable outcomes: Stable failure and stable success. I'm relatively unique in having not yet failed sufficiently to block my path from achieving desirable outcomes. Despite drug addiction, alcoholism, near-bankruptcy, homelessness, brushes with the police and debilitating mental health problems, I remain persistently employable and able to access goods and services which are normally denied to a whole swathe of society, to which I belong.

Nobody has realised I'm not supposed to be here.

Nobody has realised that all their vetting procedures and gatekeepers have failed to send me packing, back to the hell hole I crawled out of. Nobody has realised that I'm one of the ones that we're supposed to spurn and turn our backs on. Nobody has realised that I look, sound and smell like I'm one of the "OK" ones, when in fact I'm very much one of the "not OK" ones.

The longer I'm allowed to stay and warm myself by the fire, the stronger I get and the more chance is there is of me achieving stable success.

That's not supposed to happen.

Every societal system has in-built measures to toss people to the wolves. I'm not supposed to be in a big house with a wood fire and a fridge full of food. I'm not supposed to work in a fancy office doing brain-work. I'm not supposed to have any financial security, housing security or prospects. Society would like to see me dead in a ditch.

Society does however worry selfishly a lot about its own sons and daughters. Because I suppose I exude somewhat of a heady mix of intellectual poshness, combined with whatever youthful vulnerability still remains in a 39-year-old man with grey hair at his temples, I guess I confound expectations of what a junkie looks like. I'm not what anybody expects a homeless bankrupt to look like. I do not embody what anybody thinks of when they think of a psych ward patient. I do not look, sound or smell like the thing which I so obviously am, if we scratch beneath the surface.

Of course, my ruse is premeditated. I know that if I keep my mouth shut and my head down, nobody will pay me much notice, and I'll slowly be able to recover from the horrors of my past. I know that if I can go unnoticed and unfettered for long enough then I'll be able to have regained firm footing, to better enable me to flourish.

I'm aware that any period I look back upon as a period when I considered myself to be doing OK, with retrospect has turned out to be a false summit. Everything I've ever achieved has crumbled. It would be foolish to imagine that I'm doing OK at the moment, simply because I'm doing better than I was a week ago, a year ago or 5 years ago.

That's the really terrifying thing for me: 5 years ago I was very much beginning the descent. I attempted to dab the brakes, but then found that the brakes weren't working. I knew that I had to avoid long-term irreversible health damage, criminal convictions, damage to my credit rating, bankruptcy and damage to my professional reputation, but I still managed to find myself looking down the gun barrel of a heap of problems that were going to see me destitute on the street.

I'm not sure how I've managed to face down the threats to my life and livelihood and emerge from the thicket relatively unscathed, at least on the surface. I suppose it's all down to a handful of people who've conspired to assist me, in ways which run contrary to the conduct we consider ordinary and normal. A handful of people have taken risks with their lives and their money, to see me live with continued opportunities, as opposed to lasting and disastrous consequences.

I suppose in the popular parlance, I've been "enabled".

I hate that negative phraseology, to stigmatise those who help addicts and alcoholics. I hate the idea that an act of kindness is actually something bad; something foolish. I find the whole concept detestable.

I feel bad about how unwell I have been feeling this week, which should have been a celebration of how much the help I've received was a worthwhile investment. I feel bad about feeling bad.

The reality is that through the awful panic attacks, I still have a lovely house and a well-paid job, so I just need to stick to the plan - "home stretch" as my guardian angel said to me today.

My life follows a very nonlinear path. Of course I remember how bitterly I complained about living out of a suitcase, how pleased I was with a new relationship, how much invested I was in my Christmas and New Year holiday, how quickly my opinion changed about the relationship and how anxious I was to secure my housing situation. Of course I remember the highs and lows. I remember the devastation and the jubilation at many points along the way, with crystal clarity.

This is my very weird life. Suicidal depressed anxious thoughts, then white sand beaches and blue skies, luxuriating on holiday, then darkest blackness, then roaring log fires in a large period home, then more blackness. Why should this not be the case? Why would we expect any different?

Things were dire earlier in the week. Things are dire now, but dramatically less so.

Tags: #anxiety #depression #bipolar #moving #stress

This is a story about hurting myself...

There's an insufferable noise inside my head. It's a bit like a hissing, whining, wailing, screaming roar. I can't actually hear anything per se, but there's something that's far noisier than everything else that I can perceive. The world seems very loud and invasive to me - every tiny sound is amplified to neve-jolting volume - but the noise inside my head is louder, even though it's silent.

I know this doesn't make any sense.

At its most basic, the noise is like the shrill notes of a horror movie, which indicate that something bad is about to happen. The noise is deeply unsettling; disturbing. I feel on edge.

Then, after a while, because the noise doesn't go away, it seems to become more urgent: Pain, injury and death feel as if they're about to happen. I'm in a constant state of 'flinching' from the anticipated blows to my body.

The feared pain never seems to quite arrive, but instead there's a dread that this feeling will never go away. This is my life now: Living in a constant state of anxiety; living with perpetual sustained threat.

How can I go on living like this?

How can I live with this noise?

There is no noise.

My rational brain knows that there isn't any noise. My rational brain knows there isn't any threat. My rational brain knows there isn't anything to be anxious about.

Further, I know why this anxiety is so bad: Because I've been through an incredibly stressful life event, and I'm not using my usual coping mechanisms, such as drinking alcohol.

In fact, I'm effectively putting myself through alcohol detox, tranquilliser withdrawal and sleeping tablet comedown, whilst simultaneously doing one of the most stressful things that ever happens in our lives - moving house.

If I don't learn to cope without alcohol then it will destroy my health and send me to an early grave. If I don't learn to cope without tablets, then I will be forever trapped by addiction.

The unfortunate short-term consequence is very unpleasant to live through.

In fact, it's so unpleasant I've started to think I would very much like to not be alive.

That's the noise.

The noise continuously tells me to hurt myself; to end the pain.

If there was a sound that existed which told you you're better off dead, then it rings at full volume in my ears. Its sustained pitch and relentlessness tells my brain it's never going to go away, things are never going to get better, and this unbearableness is a permanent state of affairs... and the only escape is death.

I've been through enough anxiety and depression to know that things don't get any worse than this, and eventually things do get better. I have unfortunately experienced enough prolonged panic attacks to know that this is just another one, and although seemingly interminable, it will eventually pass.

Given a little more freedom - a few more options - I would stay at home in bed, and sleep. To make matters worse, however, I feel compelled to be in the office, which is just about the worst place in the world, because I have to pretend like everything's OK when it's not. I have to sit in my office chair for 7 or 8 hours, when every single bit of my body and mind screams to be doing something distracting or relaxing.

Driving in heavy traffic is a mild improvement over sitting at my desk. In fact, sticking sharp objects into myself would be a mild improvement over sitting at my desk. Jumping out of my office window and falling to my death seems like a vast improvement over sitting at my desk.

It's a pretty disturbing state of affairs and I'd be yelling for help, except that I know there's no comfort that anyone's going to offer me. Nobody's going to pay for me to be sick in bed. Nobody has anything they can say or do to ease the situation. I'm just going to have to suck it up.

It's not like I've run out of pills or the shops have run out of alcohol. It's not like I couldn't go into debt while I get better. There are temporary solutions, but they all delay the inevitable.

I suppose I'm ripping off the sticking plaster, as opposed to peeling it off gently little by little. This is a short sharp shock. This is the fastest route between two points, but also the rockiest road, with thorny bushes, biting insects, choking dust and a whole host of other things that don't mean it's necessarily the easiest path.

Now... I need to go and find distractions until it's time for bed. Today has been an incredibly long day, and I wish I hadn't woken up.

Tags: #anxiety #depression #suicide #stress #moving

This is a story about fit for purpose...

Here are a range of prescription medications. Three of them are illegal to possess without a prescription under the Misuse of Drugs Act, because they are scheduled as "class B" and "class C", respectively carrying a 5 year prison sentence, a 2 year prison sentence and an unlimited fine.

So, 3/5ths of the medicines pictured here could see me locked up for somewhere between 2 and 5 years, if I didn't have a prescription.

The medication at the top of the picture is lamotrigine, which treats bipolar depression, as well as epilepsy. It has no abuse potential, but it does carry a high risk of causing a fatal skin rash.

The medication in the middle of the picture is bupropion, which treats addiction to nicotine. It has no abuse potential, but it also carries a high risk of causing seizures, which might be fatal.

The medication in the bottom-left of the picture is pregabalin, which treats neuropathic pain. It is addictive and can be abused. Pregabalin is a "class C" controlled substance, and anybody caught in possession without a prescription, will receive 2 years imprisonment and an unlimited fine.

The medication in the top-right of the picture is methlyphenidate, more commonly known as Ritalin®, which treats Attention-Deficit-Hyperactivity Disorder (ADHD) and Attention-Deficit Disorder (ADD). It is addictive and can be abused. Methlyphenidate is a "class B" controlled substance, and anybody caught in possession without a prescription will be imprisoned for 5 years and receive an unlimited fine.

The medication in the bottom-right of the picture is zopiclone, which treats insomnia and other sleep disorders. It is addictive and can be abused. Zopiclone is a "class C" controlled substance, and anybody caught in possession without a prescription, will receive 2 years imprisonment and an unlimited fine.

So, if I didn't have a prescription for all the medications on this table, I could be facing 9 years in prison and an unlimited fine, should the judge decide that my sentences should run consecutively, not concurrently, due to the gravity of my crime.

Yet, millions of UK citizens receive the medicinal benefits of pregabalin, methylphenidate and zopiclone, and the quality of their lives is greatly improved. These tablets were developed as medicines by pharmaceutical companies, to treat medical problems. Substantial empirical evidence was gathered in many controlled trials, to prove that these medicines were safe and effective at treating the medical problems they have been licensed for.

Indeed, these medicines have unexpected benefits beyond the purpose they were licensed for. Lamotrigine improves sleep quality. Bupropion is a fast-acting non-drowsy antidepressant, which also increase libido and enjoyment of sex. Pregabalin reduces anxiety and aids sleep. Methylphenidate improves concentration, allowing students to study harder and for longer periods. Zopiclone can prophylactically prevent psychosis and mania, by preventing sleep deprivation.

It is very hard to argue that the Misuse of Drugs Act and the Psychoactive Substances Act are successful laws, because the evidence shows that the use of mind-altering substances remains entirely unaltered by legislation which seeks to discourage that behaviour, and harshly penalises those who break the law.

If I approached my GP and asked for zopiclone to help me sleep, methylphenidate to help me concentrate at work, pregabalin (or any benzodiazepine) to treat my anxiety and zopiclone to treat my depression, they would flatly refuse all my requests.

My GP would tell me that zopiclone is too addictive, despite my insomnia ruining my life. My GP would tell me that methyphenidate is too addictive, despite my inability to concentrate impairing my ability to be productive at work. My GP would tell me that pregabalin is not licensed to treat anxiety, and it's too addictive, despite my poor quality of life due to anxiety. My GP would tell me that benzodiazepines are too addictive, despite my life-ruining anxiety. My GP would tell me that bupropion is not licensed to treat depression.

Instead, I would be offered sertraline, which would allegedly treat my depression and reduce my anxiety. Sertraline is very slow to take effect and it has an emotionally-blunting effect, as well as affecting sex drive and ability to orgasm. Sertraline is not an effective treatment for anxiety. Sertraline is not an effective sleep aid. Anybody who has ever tried to quit sertraline will tell you that it is very addictive and the withdrawal side effects are intolerable.

In short, doctors would offer me nothing.

In short, doctors would tell me to go away, even though their medicine cabinets are stuffed full of medicines which have been extensively proven to treat the ailments which ruin my quality of life. The medications exist, but I would be denied a prescription to access those medications.

This much like a man who is dying from a bacterial infection being told that he's not allowed any penicillin, because a small number of people have a penicillin allergy.

Then, there are medications such as diacetylmorphine and ketamine, which are considered essential medicines. Diacetylmorphine, more commonly known as heroin, is scheduled as "class A" which carries a 7 year prison term and an unlimited fine, if possessed without a prescription.

How can we have a Misuse of Drugs Act which puts diacetylmorphine - a medicine routinely prescribed - into the same category as crack cocaine. Crack cocaine is fiendishly addictive and has zero medicinal use. Crack cocaine is so addictive, that it might even be considered to be "instantly addictive" and the vast majority of its users commit acquisitive crimes - muggings, thefts, burglaries - to raise money to pay for their drug addiction. Addiction is a medical condition, not a crime.

How can we have a Misuse of Drugs Act which puts mushrooms into the same category as crack cocaine? In fact the law states that it's magic mushrooms which are a "class A" controlled substance, which implies that the government believes in magic. Is that not utterly terrifying? Is it not utterly terrifying that our lawmakers are so mentally impaired that they would make specific reference in law to a certain type of mushroom which is "magic". Like, are you for real? We actually have laws criminalising magic, in the 21st century.

What would be a fitting punishment for anybody possessing a "magic" mushroom? Perhaps they should be made to climb a beanstalk grown from "magic" beans. Perhaps they should be lashed to a dunking seat and immersed underwater until they drown. Perhaps they should be burnt at the stake. These are the punishments that are most ususal for involvement in "magic".

We also know that behaviours such as sex and gambling can be addictive, but nobody imagines that gambling addicts inject decks of playing cards into their veins. In fact, gambling is widely permitted, advertised and promoted throughout society, despite its addiction potential. We are allowed to have sex, even though there is a risk of contracting sexually-transmitted diseases, and there is addiction potential.

Terrifyingly, the government has now passed an Act of Parliament which criminalises:

Things that cause hallucinations, drowsiness or changes in alertness, perception of time and space, mood or empathy with others

Obviously, eating a big meal might cause you to feel drowsy. Being tired will make you drowsy and less alert. Being tired will affect your mood and make you more 'snappy' with others. It seems pretty obvious that children are a thing that causes drowsiness, changes in alertness, mood and empathy with others. Many mothers get post-natal depression (mood change) and many parents feel a great deal of empathy towards their children. Is the production of children going to carry the 7 year prison sentence, as the law states?

The law helpfully tells us that:

Food [doesn't] count as psychoactive substances.

But, hang on a second... aren't mushrooms food? If I'm a mushroom producer or supplier, am I exempt from the 7 year jail sentence?

Let us imagine that I cross-breed a "magic" mushroom with a regular mushroom, not thought of as "magic" by government lawmakers, I must surely be able to produce a non-magic mushroom, which I can supply as food, even though it might cause hallucinations, changes in perception of time and space and mood. Clearly if I used gene editing, I could produce a mushroom that was not "magic" at all - no witchcraft or wizardry necessary - and this could be bought and sold in the supermarkets as food.

Fundamentally, the Misuse of Drugs Act and the Psychoactive Substances Act are flawed pieces of legislation, which are not protecting citizens of the United Kingdom, reducing crime, reducing antisocial behaviour, saving lives or reducing the burden on public services. In fact, it is categorically clear that the UK's approach to mind-altering substances is a gigantic waste of money, which is also ruining countless lives, by criminalising people with medical conditions.

The fact that we have the word "magic" in our statute books, criminalising mushrooms that are alleged to have "magical" properties, in the 21st century, is quite absurdly ridiculous. The fact that we have put "magic" mushrooms, diacetylmorpine and crack cocaine into the same "class A" schedule, carrying the harshest punishments. Diacetylmorhine is an essential medicine, administed every day by up to 130,000 doctors and countless nurses. Picking "magic" mushrooms to share with my friends is punishable by life imprisonment.

I can understand that crack cocaine is an instantly addictive drug that drives most of its users to commit a very great deal of crime, because they are suffering from an illness. Therefore those who supply crack cocaine are committing a terrible crime, because crack cocaine exists for no other purpose than its abuse, and it's abuse is so devastating that it ruins the life of the sick person and creates very many victims of crime. I can understand why supply of crack cocaine is punishable by life imprisonment.

I cannot understand that "magic" mushrooms, which are not addictive, and its users commit no antisocial nuisance nor cause any burden on the state, and are an incredibly safe thing to eat with no fatalities attributed to their consumption, are seen as the same as crack cocaine in the eyes of the law. Those who supply magic mushrooms are no more guilty than a person who obtains a crate of beer, with which to share with their friends. 

The antisocial behaviour of people intoxicated by alcohol, the addictiveness of alcohol and its adverse health effects, makes suppliers and producers of alcohol culpable for a very serious crime, which deserves harsh punishment, if we follow the logic applied to other mind-altering substances.

To sell packs of cigarettes is possession with intent to supply an addictive harmful substance. The health damage caused by cigarette smoking and the antisocial nature of it, because of the harm caused to passive smokers by second-hand smoke, as well as the unpleasant smell of cigarette smoke, which also harms items of clothing and other property. Cigarette smoking places considerable burden on the state, who must invest significant sums of money into smoking cessation treatments, smoking prevention programs and treat the many smoking-related diseases. Smoking-related diseases shorten lives, cause early death and reduce the productive capacity of those who suffer from cigarette addiction. Cigarettes have a high economic cost to society. Suppliers and producers of cigarettes, cigars and loose tobacco are culpable for a very serious crime, which deserves harsh punishment.

When the esteemed neuropsychopharmacologist Professor David Nutt was adviser to the government on its drug policy, he suggested - based on overwhelming empirical evidence - reclassifying all drugs based upon the health risks they posed, the harms they cause to society, and the economic cost of their use and abuse. He was forced to resign. Drugs are a politcal pawn and the government has no interest in the wellbeing of its citizens, with respect to drug use.

We only need to look at Portugal, which took a scientific data-driven approach to its drug policy and has achieved:

• 60% increase in uptake of addiction treatment programs
• 90% drop in the rate of drug-injection related HIV infection
• 45% decrease in the murder rate
• Drug-related deaths dropped to 3 per million (in comparison to the EU average of 17.3 per million)

The most [un]surprising thing of all is that drug use remained the same. People like to take drugs. LOTS of people like to take drugs. Alterations to the law do not affect people's desire to take drugs. Drug laws are not a disincentive to drug taking, because drug taking has been a feature of human life since pre-historic times. People want to take drugs, hence why alcohol, cigarette and coffee consumption is ubiquitous and legal.

2.5 million Xanax tablets were purchased on the black market in the UK. At least half a million people in the UK are using MDMA (ecstasy) on regularly, and on a single weekend, a million tablets could be consumed. Almost one million UK citizens are using powder cocaine, and most of them are affluent professionals.

What we can learn from Portugal is that punitive drug laws have no affect on citizen's behaviour. The criminalisation and harsh punishments are not a disincentive to illicit drug purchase and consumption.

Legislation to criminalise the sale of alcohol - prohibition - was tried in the USA from 1920 to 1933, and it was an abysmal failure. Industrial alcohol was deliberately made extremely poisonous in 1927, causing innumerable deaths and making people blind. But people drank it anyway, getting literally "blind drunk". Moonshine was responsible for vast numbers of speakeasy customers being poisoned: 33 people in Manhattan, NY died in just three days, for example.

We can see from all historical evidence, worldwide, that every culture has used mind-altering substances extensively. Coca leaf chewing is common in South America. Tobacco smoking and chewing originated in North America. Betel nuts and areca leaves are chewed all over Asia. Khat leaves are chewed in Africa. Tea leaves a brewed in hot water in China and India. Coffee beans are roasted, ground and brewed in South America. Cannabis has been drunk as Bhang in India for more than 3,000 years, and the Egyptians were smoking cannabis 3,600 years ago. Opium was being consumed 5,400 years ago, by the Mesopotamians. Alcohol wins the top prize though, because it's been brewed for at least 13,000 years - since the goddam stone age.

The invention of distillation apparatus is a relatively recent phenomenon, but we should accept that human desire for intoxicating alcoholic beverages has been unwavering since the discovery of the fermentation process, and the invention of brewing methods. The body of archeological evidence overwhelmingly proves that beer and wine were present in human lives, continuously. Mass production of cheap distilled spirits pose new challenges, but we must remember that society does not adapt to scientific and technological advances with sufficient speed to avoid difficult periods of re-adjustment.

The isolation of psychoactive molecules responsible for psychoactive effects, and the laboratory synthesis of those naturally occurring compounds, has resulted in highly refined and pure chemicals. The investment in high-volume chemical production for industrial and agricultural uses, makes the precursor ingredients for synthesised compounds extremely cheap, and therefore, drug supply can inexpensively meet drug demand, through mass-production. The very poorest people in the world are often able to afford to buy very potent and pure drugs.

In 1804 Friedrich Sertürner isolated the morphine molecule from opium. In 1804 the world's population was 1 billion and the average global income was $3 a day (adjusted for inflation). Today, 3.4 billion people live on approximately $3 a day, which means that there are 340% more people living in poverty on an increasingly overcrowded planet.

We know from animal studies that stress and overcrowding affects behaviour adversely - "the behavioural sink" - and experiments have produced compelling evidence. Animals whose living conditions are intolerable, will prefer water laced with alcohol, cocaine, heroin and other addictive drugs. When the experiment is repeated with better living conditions, such as having other animals to socialise and have sex with, more comfortable bedding, exercise wheels and toys to interact with, then the rats prefer to drink the water without any mind-altering substances.

Findings from experiments with overcrowding in rat colonies found the following disturbing results:

Many female rats were unable to carry pregnancy to full term or to survive delivery of their litters if they did. An even greater number, after successfully giving birth, fell short in their maternal functions. Among the males the behavior disturbances ranged from sexual deviation to cannibalism and from frenetic overactivity to a pathological withdrawal from which individuals would emerge to eat, drink and move about only when other members of the community were asleep.

The animals would crowd together in greatest number in one of the four interconnecting pens in which the colony was maintained. As many as 60 of the 80 rats in each experimental population would assemble in one pen during periods of feeding. Individual rats would rarely eat except in the company of other rats. As a result extreme population densities developed in the pen adopted for eating, leaving the others with sparse populations.

Infant mortality ran as high as 96 percent among the most disoriented groups in the population.

Translated into human terms, we see that the majority of the world's population live in overcrowded cities. We see neglected and abused children taken into foster care. We see high infant mortality rates in the developing world. We see sexual deviancy. We see widespread manic-depressive symptoms and other psychiatric illnesses. We see men living lives of quiet, desperate isolation, withdrawn from the world and spending most of their time in their bedrooms, emerging only to grab a microwave pizza or use the toilet.

One must remember that in the rat overcrowding experiments, there were no drugs or alcohol. The behaviour of the rats was a spontaneous response to their living conditions.

Thus, we must conclude that the problems we see in society are not caused by drugs and alcohol, but the abuse of drugs and alcohol is caused by intolerable living conditions.

In the west, the social problems we have are due to industrialisation and mass-production, which required high-density housing in close proximity to the factories, mills, textile manufacturers and steel works. The social problems were compounded by the service industries building tall office blocks in the business districts of major metropolitan areas. Property developers built high-rise housing blocks in cities which were already densely populated.

Manhatten had a population of 60,000 people in 1800. Today it has a population of 1.7 million people who each earn $378,000 per annum, on average.

Hong Kong Island had a population of about 3,000 people in 1842. Today it has 1.3 million people and a 2-bedroom city centre apartment would cost about $2 million to buy.

Those are the affluent places.

In the developing world, the social problems are due to the purchasing power of "soft" currencies. Only the US dollar, Japanese yen, European euro, Swiss franc, Canadian dollar, Australian dollar, New Zealand dollar and British pound, are considered to be "hard" currencies.

Developing world nations need to build factories, mills, mines, railways, ports, power stations, which can only be paid for in hard currency, along with hospital and a university, fully equipped, staffed. The university needs a library full of books. Almost everthing has to be imported, and the suppliers want to be paid in hard currency.

The developing world nations take out loans from the World Bank, issued in hard currency to buy what they need. The crop harvest, manufactured products and natural resources are exported to buyers who pay with soft currency. Labour is also sold using soft currency .

$1 can purchase 8.3 minutes of labour in the USA. $1 can purchase 36 hours of labour in Ethiopia. The poorest and hungriest Ethiopians get paid 10 Ethiopian birr for 12 hours labour. A day's wage is the same as the cost of the day's food.

$1 is exchanged for 30 Ethiopian birr. The dollar seller can pay 3 Ethiopians their daily wage, after they complete 12 hours labour. The Ethiopian birr seller can purchase $1 of specialist goods, specialist services, or hire a highly-qualified and experienced expert, from the richest nations. $1 could purchase 1 minute of time from a prospecting geologist to survey Ethiopia's stone, ores, minerals, metals and gemstones. When the data is gathered, Ethiopia can then calculate the capital expenditure to purchase land, build processing facilities, buy equipment, and build supply infrastructure. Then they consider the cost the cost of paying for supply chain services. They calculate how soon they can be ready to start exporting. They calculate a sustainable export capacity and work out the anticipated lead time from initial purchase order, legally binding supply contract, agreed.  The operating costs are deducted from the expected income from the exports. It's pretty easy maths:

(Capital expenditure + operational costs + transport costs) - (average raw material market price x quantity of raw material available)

This equation gives three numbers,

1. How much money do we need spend before we see a single dollar

2. How much money will be earned until all the natural resource is gone

3. Proft (if any)

Wheat to make flour with is $0.46 in the US commodities exchange. Coffee beans are $0.94/kg. Orange juice is $1.17/litre. Cotton is $0.71/kg. Raw sugar from sugar cane has by far the lowest market price, of $0.13/kg.

Processing makes little difference: Alcohol made from cane sugar trades at $1.34/litre and refined white sugar trades at $348.

So we can forget growing crops. The US and EU subsidise their farmers by purchasing their harvest, then dumping it in huge silos, or otherwise paying farmers a subsidy for not growing their crop, which is greater than the amount the farmer could expect to earn by selling the harvest. That's economic warfare by the wealthy west on the impoverished developing world nations. The game is rigged.

Then stone, ores, metal, precious metal and gemstones are worth considering.

Iron ore trades at $89/kg. If you invested in heavy machinery and a processing plant: Copper trades at £3/lb, Aluminium at $1/lb. Nickel at $6/lb and Zinc is at $1/kg.

This is because $1 can purchase at least 1kg of flour, which will feed a mother and child for a day. The hungriest poorest people will exchange 12 hours labour . Therefore $1 buys 87 times more labour in the poorest parts of the developing world, than it does in the USA. So $1 is offered in exchange for enough local currency to buy 1kg of flour. It costs 30 Ethiopian birr to buy 1kg of flour,

The densest population on the planet is Tondo - a district in Manila - where you are never more than 2 metres away from another person. I'm 1.83 metres tall, so if I lay down to sleep, I would have 17 centimetres between me and the nearest person That's disturbing.

The developing world population has increased dramatically in the last 200 years, which is a lot of hungry mouths to feed, in countries which might not have clean drinking water, medicine, sanitation systems, and people live with a lot of hunger. See below:

Can you see the trend? Poor nations are getting more populated, which drives down the value of their labour drives down the value of the crops they produce, and drives down the price of the the other commodities they can produce. In a system of global free-market capitalism: A hungry person will work harder for longer, than a well-fed one. A person who lives in a country with high infant mortality rates will have more children that a person with great well-equipped hospitals and doctors, in every city.

It's ludicrous to be criminalising things which would never exist if we paid more for our edible crops. For example, 1kg of opium resin is worth $2,506 if you buy it wholesale directly from the farmers in Afghanistan. That heroin has a market value of $6,600 in the USA.

The drug problem is the inevitable conclusion of exploiting the developing world's labour, crops and raw materials.

I should really have written this as a series of blog posts, but I might is this in a non-fiction book I plan to write if I can convince somebody I like to co-author it with me. Or at least get a literary agent to find me a publisher and give me an editor.

Side note: I started writing this on Saturday and it's now Monday (well, Tuesday, technically) and I've hardly slept. I must publish this now, and proof-read and edit tomorrow.

I hope you find these 4,000 words entertaining.

Tags: #economics #politics #drugs #addiction  #politics #law #criminal

This is a story about provocation...

I suppose the reason why my episodes of mania synchronise perfectly with periods of high stress and exhaustion, is some kind of defence mechanism - perhaps an evolutionary adaptation; something deliberately left in my genes, because it's served a useful purpose during unsettled times throughout the history of humanity.

It's problematic for me to work in an open-plan office at the moment. It's problematic for me to be surrounded by so many mild-mannered and quiet individuals, who seem happy to spend all day looking at their email inbox, waiting for something interesting to appear.

How my colleagues manage to cope in an environment that's pretty stale and ultra-conservative, I don't know. Big personalities and loudmouths are not the kinds of people who become long-serving members of my organisation. In fact, a girl I dated from my office said she cried when she got her security pass, because its expiry date was 10 years in the future. "Nobody would choose to work here" she said.

It's not that bad.

I like it.

I'm just not so sure that everyone who's within earshot of me is my greatest fan. I have a foghorn-like voice in two situations: 1) when I'm scared and insecure, and 2) when I'm manic, like I am now.

I suppose I knew that mania was cropping up - rearing its ugly head - but it served a purpose. I needed to find a place to live and make all the necessary moving preparations. I needed to continue to work hard at my job, while also finding the extra energy and the motivation to do something I hate: Moving.

The mania has propelled me to move very fast, but it also causes my brain to speed up dangerously. A colleague told a joke about friction coefficients - a classical physics joke - and I said I could come up with a better one about quantum mechanics, in only a few seconds. According to my colleague, it took me no more than 15 seconds to invent a "XXX walks into a bar..." type joke, which was actually pretty good considering I thought of it on the spot AND it involved two really fundamental things about quantum mechanics. Nothing to do with Schrödinger and his cats, but actually to do with Planck and his constant... but I digress... both jokes have a very small audience who'd appreciate them.

I'm fizzing and crackling with so much energy at the moment that I'm physically uncomfortable to be around. I think I'm literally giving people near me headaches.

One of the first things I said this morning was "do chairs really exist?" which was supposed to be funny, but my colleagues reaction was to tell me it was too early to start talking about philosophy.

I didn't get to sleep until 3:30am or maybe even 4am.

Does the lack of sleep cause the mania, or is the insomnia a symptom of the mania? It's impossible to know.

It's not like I couldn't sleep, but I can't see how else I can fit everything into the 24 hours of the day, without some late nights. I know that I need regular bedtimes. I know I need lots of sleep. But, there's so much to do.

The busier I am, the more productive I am, strangely. Today I did all kinds of horrible jobs that I wasn't looking forward to, like buying a washing machine, booking a van to move my stuff, arranging to have broadband internet installed, arranging to have my post redirected and a zillion other admin jobs, but I also managed to do a piece of work that I'd been putting off for days and days.

Where I'm finding the energy from to maintain my daily writing, as well as the development of NickBot™ and the migration of my website from one hosting provider to another, I have no idea, considering that I also have a demanding full-time job and I waste at least 50% of my time saying stupid things out loud and distracting people.

I guess I was wasting a lot of time and energy on a bad relationship, so escaping that has released me from a lot of pointlessly exhausting nonsense. I was very trapped. I was very miserable.

I'm very stressed now and I felt momentarily like I was very alone, but perhaps that's what prompted me into a frenzy of activity, sending out lots of messages to people I care about, trying to surround myself with people who care about me. There's a horrible period of stress approaching rapidly - moving day, and subsequent days - but I'm pretty well prepared for it, which I'm surprised about, because I can often become too overwhelmed by anxiety to even leave my bed. I'm surprised that depression hasn't laid me low.

All of my psychiatric problems can be considered acute: i.e. they have been spontaneously provoked into existence by the extreme set of life circumstances that I'm simultaneously dealing with. This is adjustment disorder which is just another way of saying "your life is hell right now" and that quite rightly, my brain and body are compensating for the extreme demands placed upon me.

I'm pretty terrified right now, of screwing up the good relationship I have with my colleagues and my workplace. People have been patient with me, but that patience is wearing thin. It's unusual for a manic episode to last so long, but I've managed to keep myself sustained for periods of 6, 8 and even 13 weeks before... but it always led to a horrible crash. There have always been disastrous consequences for allowing too much of my mania to overspill into the open-plan offices which I work in.

I try to rein myself in. I try to put my headphones in and keep my head down. But, then somebody wants to ask me something. Then I overhear something and my red-hot brain which is travelling at a million miles an hour immediately sparks off and I'm talking - interjecting - with something which I think is profound, but nobody can keep up with me... I'm just acting a bit weird and annoying, from the point of view of my colleagues.

I'm working from home for a couple of days. I'm going to try to pace myself and remind myself that I've got a nice long overlap of my tenancies, so I don't have to move everything all at once. If I forget anything, I can always make more trips. There's no need for me to put so much pressure on myself.

I'm pushing hard in every area of my life, simultaneously. I want my colleagues to think I'm a brilliant genius who can do anything. I want my perfect house, fully furnished and looking beautiful. I want to feel instantly at home in a city which I've barely visited. I want my side project - this website - to make a giant leap forward, in terms of technology.

It's too much, and there will be a price to be paid.

I need to be super careful.

I can't afford to lose my job, for example.

I can't afford to lose anything, in fact.

Everything teeters dangerously on a cliff edge.

But, I've kind of gotten used to living on the edge.

If nothing else, at least this period is quite life-affirming and I'm coping remarkably well. Even when I got in trouble with the big boss the other day, I managed to rescue things very rapidly and get back on good terms. Even when I wasted days and days procrastinating, I caught up very rapidly. Even when I felt that there was too much to do in too little time, to move house without dying of stress and anxiety, everything seems to be falling into place.

I've written twice as much as I meant to, of course, because I can't quite rein myself in; I can't quite pump the brakes and slow myself down.

So long as I keep doing what my colleagues are doing, which is mostly killing time looking busy, then I'll probably get through this difficult period without doing too much damage. Less is more.

Tags: #bipolar #mania #adjustmentdisorder #career #work #job #office #boredom #moving #renting #house

This is a story about a charmed existence...

Despite much whinging and complaining about the anxiety being caused by house-hunting and the difficulty of getting through all the vetting procedures, credit checks, references and suchlike, I have managed to secure myself a lovely big house to live in.

The house is unfurnished.

This isn't even my furniture.

I stole the photograph from the rental agent's website.

However.

Wherever I go in the world, I have friends. Even though I hardly know anybody in the city where I currently live, or the city where I'm moving to, or the city where I work, I will always have friends. Why? Because I have so many people who care about me in the world. I'm such a lucky guy that my lovely global friends write to me, leave me lovely comments on my blog, or even just leave a little 'heart' on something I've written.

I know that some people might feel like social media, blogging and the internet in general is a virtual reality. In their mind's eye, the internet is populated with shy introverts, who never speak to each other and never make meaningful lifelong friendships. They're wrong.

A huge percentage - the vast majority - of my friendships began online, and then progressed to meeting in person and staying in touch regularly. My best friends and those who've been there for me through thick and thin, in times of darkness and in times of light... those friends almost all originated from the internet.

Whether those friendships were made via dial-up internet bulletin boards (BBS), discussion forums, Facebook, Twitter, Instagram or whatever social media is presently popular, is a complete irrelevance. Whether or not those friendships were first initiated using the communication medium of the internet, as opposed to a chance face-to-face meeting, is irrelevant.

I started making a list of all the people who've given me significant support during some very difficult years of my life, and the more I kept digging though the archives of the internet, the more amazed I was at how many names there were on the list.

I started trying to mention some of those people on Twitter, to thank them for being such great friends. As I sent out the Tweets I'd keep realising that there was somebody who'd perhaps gone quiet for a little while, and I hadn't been in touch with recently. Everybody I mentioned has been a hugely supportive, kind and caring friend.

I started to realise it was almost impossible for me catalogue and give thanks to everybody. How can I rank the contribution of my friends, to improving - and in some cases saving - my life? How can I even begin to comprehend just how many people I've been lucky enough to connect with, in a meaningful way, such that we could talk just like we'd known each other our whole lives?

How can I be sure I didn't miss anybody? For sure, I have more friends than my brain can cope with, which is an amazingly nice situation to be in.

The internet is an incredible thing, but it's the aggregate value of all those wonderful people that makes it so amazing. The global reach of the internet means I have friends on every continent. It feels like wherever I go in the world, I'll always have a friend.

I'm moving to a city I've never lived in before. I don't really have any friends there. I don't know my way around.

That's scary.

But, wherever I go, I have my connection to an entire world of wonderful friends, who will support me along the way. Sure, some of them live too far away to help me unload my moving truck and unpack my boxes. Sure, some of them live so far away that they're unlikely to be able to drop in for a housewarming party. However, it's an immense comfort, especially during unsettling and stressful times, to have the wonderful luck of having so many friends in the world.

I'm not sure why I put up that picture of a house which doesn't even contain any furniture.

I'm not sure if I'm insecure, and I want you to see that I'm at least going to be living somewhere nice, once I've bought some furniture and moved in.

I also wanted to share that picture, because you're all moving in there with me, because you move everywhere with me. You moved from London to Manchester with me, you moved from Manchester to Swansea with me, you moved from Swansea to Newport with me and now you're moving from Newport to Cardiff with me. You were with me when I was in all those new cities. You were with me when I was living all on my own in that hotel room, out of a suitcase, for so many months.

I'm lucky to have so many friends who go with me wherever I go. I'm lucky to have friends in every time zone, so I can speak to somebody at any hour of the day. I'm lucky to have turned so-called 'virtual' friendships into lifelong friendships, where we speak regularly on the phone, and we are intimately involved in each other's lives.

I'm grateful. Without your help, I wouldn't have made it this far. Without your help I'd have died in Manchester. Without your help, I'd have been too anxious and depressed to get through the difficult things I've been through: To move to strange new cities, start new jobs and find new places to live. Without your help, all those lonely nights living out of a suitcase in a hotel would have been unbearable.

Thank you, my far-flung friends.

Tags: #friends #socialmedia #home #moving #apartment #renting

This is a story about re-relapse...

The title of this blog post, the hyphenated nonsensical word "re-relapse" and the image of an oral syringe which I happened to spot lying on the floor of a hospital, are all intended to set the tone of this piece: Everything you think you know about drug addicts is probably wrong, especially when referring to "drug addicts" as a collective group of mostly identical people.

I could easily wander into the territory of blathering on about "we're not all the same, you know" and other such clichés, but instead I thought I'd simply tell you the story of my re-relapse.

I guess how I became a drug addict again is far less interesting and important than why, so I'm actually going to explain some of the who and the what which means my story makes sense, I hope.

Back in November 2018 - less than 3 months ago - I was a drug addict. I also booked some flights to Mexico for my girlfriend and I, so that we could spend Christmas and New Year on the beach. This presented a problem: How does a drug addict go on holiday?

When I went on holiday to Turkey for a week in October 2018, I literally went cold turkey, which I thought was really funny because I had travelled to Turkey for a hot holiday during the cold UK autumn. The irony of it had a kind of poetic deliciousness, which I couldn't resist. Besides, I wasn't that much of a drug addict at the time.

During that week in Turkey, I struggled to sleep at first, without the drugs which I had become addicted to. Then I became incredibly tired and lethargic due to lack of sleep, and I didn't leave my hotel room for 3 days. However, by the end of the holiday I was able to enjoy some sunshine and I was also 'clean' - I was no longer a drug addict.

Now we must ask: If I had managed to get 'clean' and beat my drug addiction, why would I relapse? The answer is quite simple and straightforward really: Because I am using drugs as a coping mechanism for my ordinary day-to-day circumstances.

What about Mexico?

I had planned a 2-week holiday with my girlfriend, to Mexico, which would have been far more enjoyable than the holiday to Turkey, except for the fact that my drug addiction had escalated. I'm not sure what was so particularly awful about November, except that the UK weather was getting even colder and more miserable, but I found it necessary to augment my existing drug addiction with additional substances.

I did not want to travel through two international airports carrying controlled substances, for which I did not have a prescription. In the UK, it's a criminal offence to be in possession of certain medicines, unless you have a prescription. I did not have a prescription. One of the medicines which I needed to transport with me to Mexico via transatlantic flight, in order to maintain my drug addiction, was unfortunately illegal to possess in the UK without a prescription.

What was I going to do?

I procrastinated for a long while, and then with 3 weeks until the scheduled departure of our flight to Mexico, I decided to start reducing my dose a little bit every day. I tapered myself off one of the medications I was addicted to - Xanax - until I was no longer addicted to it, so I was then able to travel without being at risk of prosecution for trafficking narcotics across international borders.

Essentially, I got 'clean' again. Yet again. I've gotten 'clean' so many times.

Oh, did I mention that I also quit drinking?

Yeah. Don't try to quit Xanax in the space of 3 weeks if you're addicted to it. If you're addicted to Xanax, you need to taper down your dose really slowly or else you'll have problems.

I had problems.

I drank 9 pints (5 litres) of very strong beer and I don't remember many of the details, except that I went bat shit crazy and smashed some stuff up. I was pretty much blackout drunk, so my memory is very patchy. I was out of control. I was a mess. The worrying thing is how little of it I remember.

So, I quit drinking soon after I started trying to quit Xanax. Mixing alcohol and Xanax is a bad idea, but drinking alcohol while quitting Xanax is a disastrous idea.

However, quitting alcohol and Xanax, when you're addicted to both... that's hell.

I had 3 weeks where I felt like the world was about to end and life was not worth living. I had 3 weeks where I was absolutely convinced that every conceivable disaster was lurking just around the corner. I had 3 weeks of the most unbearably awful anxiety.

Then I went to Mexico.

Turns out you can just buy Xanax over-the-counter in a pharmacy in Mexico if you smile nicely and pay in cash. Obviously, I was well aware that it's illegal to sell Xanax in Mexico, but I was also well aware that it wasn't illegal for me to buy it or possess it. So, I bought a bottle of Xanax from a Mexican pharmacy, and I resumed my drug addiction. Xanax is branded Tafil in Mexico by the way... if you ever need to get some.

Then, at the end of my holiday in Mexico, which was awesome by the way, I threw the leftover tablets in the bottle into the trash, at the airport.

Since my holiday, my life has continued pretty much as normal. I don't drink - I've managed to remain almost completely sober since I quit alcohol back in December. My life is also normal, insofar as I'm a drug addict.

Every night I take a sleeping pill and a tranquilliser, and I do so because I need sleep and I need to be tranquil. My life circumstances dictate my need for the substances I use.

I imagine that I will become completely 'clean' and 'sober' again one day, but for the time being, I need to endure some pretty horrible life circumstances, and I find that the drugs I'm addicted to are helping me to cope, even though it's commonly thought that all drug addiction is automatically a bad thing.

What I wish for is not to be 'clean' and 'sober' but for the circumstances of my life to be more pleasant and favourable to a life without the 'crutches' of drugs, but what I wish for seems mostly impossible, at the moment. I can't achieve the impossible. I have to work within the limits which I'm constrained by. I have no control over most things in my life, which cause me a great deal of discomfort and unhappiness, but I've found my coping mechanisms which work.

The end.

Tags: #addiction #medication

This is a story about the less glamorous jobs...

Some very simple things in my life are surprisingly difficult to organise and cause a great deal of anxiety. The accumulation of things which most people would consider trivial, is a consequence of a phase of my life which I should not probably be living through.

Those who have stuck together with their peer group, going through school, further education, higher eduction, university and forays into academic realms beyond, have had a well-trodden path to follow, which has made it extremely easy to go along with the herd.

Society corrals us through life, into jobs, relationships, and the process of "settling" somewhere. We become attached to a place, either because it's where close family live, where we spent the bulk of our time studying, or perhaps because it was where we spent the bulk of our career.

The weight of expectation placed upon us by our families, friends and the media, pushes us towards marriage and children.

We're carried along by a rapidly flowing river, with the currents too strong for us to swim against. The bulk of our destiny is inevitable, not free will or choice, like we would like to believe.

My car needs servicing, I need a haircut, I need a new belt, there is administrative paperwork which must be submitted to a government agency, there are numerous annual insurance policies which require renewal. I am continually harried and harassed for my time and money, by an unending queue of people who won't leave me in peace.

I try to comply with the demands of so-called 'normal' society but I find that there are gatekeepers everywhere, intent on frustrating me, delaying me, or thwarting me altogether.

I attempt to do my job to the best of my abilities, and I feel guilty about doing non-work tasks during my working day. I attempt to invest time each day in relationships outside my workplace: friends and family. Once commuting time, meal preparation time, housework time, washing time, hygiene time and all the other mandatory deductions from my leisure time have been made, there are then the other tasks: The letters to open, which no doubt demand money with menaces, or require me to fill in some ridiculous form and mail it, so that a bureaucrat somewhere can justify their job.

My photo album contains a depressing number of photographs which are not of pleasant things I've observed, but do in fact contain details I need for the operation of a fairly simple and humble life. The picture above is of one of my tyres, so that I could find a place to fit my car with the correct ones.

My photo album contains numerous pictures of my passport, driving license, bank statements, utility bills, council tax bills and other official documents, which are regularly demanded as proof of my identity. I spend my life perpetually proving that I exist and satisfying other demands of gatekeepers, who would prefer to see me homeless, penniless and destitute.

I suppose I'm not alone in this farcical existence, but it gives me little comfort to know that many of us - those who don't have the security of a permanent job and the ownership of our home - are constantly asked to jump through so many hoops.

My perceptions might be warped, but I feel like I'm more time poor than ever, which isn't supposed to be the case for a childless man who has been working a full-time career for over two decades.

I'll stop moaning now and get back to my administrative tasks.

Tags: #admin #taxes #timepoor #timekeeping #leisure #work